New York City Chiropractic Healthy News - March 2018

 

CHOOSING WISELY (1) – WHAT TO DO ABOUT BACK PAIN

Every profession is setting forth recommendations for practitioners to adhere to when providing health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your New York City chiropractor at Innate Wisdom is always ready for such a conversation about New York City back pain. Back pain is a big health concern distressing 80% of us in New York City at some point in life. Back pain is managed by many types of physicians in many kinds of specialist societies. Their societal recommendations are comparable regarding imaging (Don’t order in the first six weeks of pain unless there are “red flags.”), testing non-surgical care ahead of imaging and/or referring for back surgery, and progressing the patient care from passive to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the response to the last one and not prescribing opioid drugs for acute disabling low back pain without evaluation and a test of other alternatives. (2) The American Chiropractic Association recommends not performing repeat imaging to see how the patient is responding, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless there are red flags, and staying away from long term use of passive care but instead shift the patient to active care. (3) The American College of Emergency Room Physicians recommends sidestepping lumbar spine imaging in non-traumatic back pain unless there are severe or progressive neurological deficits or a suspicion of an underlying issue. (4) The American College of Physicians recommends not obtaining imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not advocating bed rest for more than 48 hours for low back pain, not using EMG studies to figure out the cause of spine pain, and not doing advanced spinal imaging (ex MRI) within the first six weeks of non-specific acute low back pain devoid of red flags. (6) The Danish Health Authority recommends not referring patients for back surgery for a lumbar disc herniation with radiculopathy except if the severe and debilitating back pain persists for 12 weeks despite non-surgical treatment. (7) It’s up to you, the New York City back pain patient or concerned loved one, to choose wisely the path of care for back pain relief. Use these professions’ recommendations for back pain care to begin a conversation with your New York City chiropractor, your New York City back pain specialist, at Innate Wisdom as you decide on the type of care suitable for your New York City back pain relief.

Listen to this PODCAST from the Back Doctors' Podcast series about two cases of back pain helped with Cox Technic, one with imaging and all sorts of care and the second case without any imaging studies.

 
 

TIP OF THE MONTH: Try Non-Surgical Interventions for New York City Back Pain

Common New York City non-surgical interventions for New York City back pain relief are pain medications, exercise, manual manipulation, massage, and heat/ice. (8, 9) Included in the top non-surgical interventions to try before New York City back surgery is spinal manipulation (10) of which 90% (11) is done by chiropractors. The Cox Technic System of Spine Carespinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with more active care emphasis as pain decreases – matches Choosing Wisely recommendations as it seeks 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function pursued by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your New York City back pain to Innate Wisdom! Make it your first New York City back pain relief healthcare stop!

CONTACT Innate Wisdom

Schedule your next New York City chiropractic visit today. Innate Wisdom looks forward to helping you choose the next best step toward back pain relief.

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